Special Event Permit Application

The events included under this policy include public or private events held wholly or partially on City owned or maintained property. Commercial block parties are covered, as are most events held downtown with a street closure. Neighborhood residential block parties are not covered, and will continue to have a separate application process.

Please read application carefully and fully complete each section. For additional space, use separate sheets of paper and attach to the application. Please review the Special Event overview document for detailed instructions.

Application is due 90 days prior to the scheduled event.

Completion of this application does not guarantee that approval of request will be granted.

Location Requested [give in detail using street names, building names, etc. the location of the event

Please give a detailed description of the event

Date event BEGINS
*MM/DD/YYYY

Time event BEGINS
*HH:MM:SSAM/PM

Date event ENDS
MM/DD/YYYY

Time event ENDS
HH:MM:SSAM/PM

If you are requesting a street closure, all property owners/occupants of location of closure MUST be notified within FIVE days of the event. See overview "Section II, B. Nofication letter" for more details.

SETUP DATE:
MM/DD/YYYY

Setup Time
HH:MM:SSAM/PM

leave it blank

TEAR-DOWN Date
MM/DD/YYYY

Tear-Down Time
HH:MM:SSAM/PM

leave SS blank

If Parking in the area of the event needs to be restricted or prohibited, please upload a detailed map of event site, detailing any temporary or permanent structures, street closures, vendor locations, parking, etc. If applicable, list the location, blocks, streets, and/or intersections in which such event will occur. Please go to http://www.johnsoncitytn.org/MapApp/ for detailed map information.

Optional Second Document

Are you requesting that traffic control be provided by the City, i.e. barricades, cones, etc.?

Name of PERSON in charge on the day of the event
FirstLast

Email for person in charge on the day of the event

Cell Number for person in charge on the day of the event
###-###-####

Secondary Contact Name on the day of the event
FirstLast

Email for Secondary Contact on the day of the event

Phone Number for Secondary Contact on the day of the event
###-###-####

If you are an organization, please list the names, addresses and phone numbers of all officers and management of the organization.

Check ALL that apply, for applicant

Applicant is an OrganizationApplicant organization is based in Washington CountyApplicant organization is authorized to do business in TennesseeStages, Amusement Attractions, Amusement Rides [including inflatables] will be erected for the event [MUST attach insurance for that company below]

If applicable include a copy of that companies insurance certificate indicating coverage and listing the City of Johnson City as additional insured

If existing restrooms be provided for Public Use, HOW MANY and at what location?

Portable Restrooms - if you are utilizing portable restrooms list the NUMBER, LOCATION, Time and Date they will be placed, removed, and serviced.

Portable Restrooms: How many ADA accessible units will be included

Will alcohol, beer, and/or wine be given away or SOLD?

No [skip question below]Yes [refer to question below]

If you are an existing beer permit holder, this application will require approval of three readings at the City Commission. Meetings are held the 1st and 3rd Thursdays of every month.

If you are a bona fide charitable non-profit organization, then an application for a special occasion license is required. A $75.00 fee is required with the submitted application. CHECK option below

We have an existing permitYou are a bona fide charitable non-profit org [must apply for specaial occasion license. $75.00 fee is required with the submitted application]

Will your event include tents or other temporary structures [such as inflatables], propane use, or open flames?

NoYes [a permit must be obtained from the Development Services Department-Code Division - see Detailed Instruction link on the first page].

Estimated number of participants during the course of the event

Estimated number of attendees during the course of the event

Admission Fee: If you plan to charge an admission fee, list amount:
$Dollars.Cents

Vendor Fee: If you plan to collect a vendor fee, list amount:
$Dollars.Cents

PERMIT TERMS:
PLEASE READ BEFORE SUBMITTING APPLICATION
1) I/We agree to abide by all ordinances and regulations of the City of Johnson City and all conditions placed upon the event by the City Manager and the Board of Commissioners.
2) I/We do swear or affirm that all of the information given in this application is true and complete.
3) I/We do hereby agree to assume the defense and indemnify and save harmless the City, its aldermen, boards, commissions, officers, employees, and agents from all suits, actions, damages or claims to which the City may be subjected of any kind or nature whatsoever resulting from, caused by, arising out of or as a consequence of such event and the activities permitted in connection therewith, and to submit a certificate of insurance prior to the event in an amount acceptable to the City Manager.
4) I/We agree to provide a copy of this signed Event Application to any vendors, planners ,and related parties for this event.
5) I/We understand that I/we assume the responsibility of the actions of any vendors, planners, and related parties for this event.
6) I/We understand that granting of a Special Event Permit does not imply granting of other permit that is separately required.
7) The application for an event permit shall be filed not less than 90 days prior to the scheduled date of such event. Events shall not be advertised until an event permit has been obtained from the City. Failure to file in a timely manner may result in denial of a permit.

I DO NOT Accept the Terms and ConditionsI/We have READ and ACCEPT the Special Event Permit Terms and Conditions listed above